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Freedom of religion civil liberties
Freedom of religion civil liberties
Freedom of religion civil liberties
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Recommended: Freedom of religion civil liberties
ISSUES:
Under what conditions may an adult reject an emergency medical treatment, especially due to religious concerns?
Under what conditions may a minor object to an emergency medical treatment, especially due to religious concerns?
DISCUSSION:
Adults
Where Competent
Generally speaking, a competent adult may reject any medical treatment. This power emerges from their common law right, First Amendment religious right via the Fourteenth Amendment. Important to Illinois’ law, the common law right to refuse medical treatment and the “religious right to refuse treatment, which is based upon the free-exercise clause of the first amendment (U.S. Const., amend. I)” are separate rights. Curtis v. Jaskey, 326 Ill.App.3d 90, 99 (2001) (citing In
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Of the right to competent self-determination “No right is held more sacred, or is more carefully guarded by the common law, than the right of every individual to the possession and control of his own person, free from all restraint or interference of others, unless by clear and unquestionable authority of law.” In re Estate of Longeway, 133 Ill.2d 33, 44 (1989) (quoting Union Pacific Ry. Co. v. Botsford, 141 U.S. 250, 251 (1891)). The preservation of life is meant to aid the State is determining the desires of the patient. Specifically, the court should only consider the desires of the patient alone excluding the consideration of others under this interest. In re Brown, 294 Ill.App.3d 159, 172 (1997) (explaining that appointing a GAL for a fetus before birth that could benefit from blood transfusions being refused by the mother was improper because only the rights of the decision maker are considered).
The State’s interest in the prevention of suicide is strong but limited. It is not to be used where the choice of the patient is merely to withdraw from a treatment regimen. In re Estate of Greenspan, 137 Ill. 2d 1, 17 (1990) (citing Hodgman & Frazer, Withholding Life Support Treatment in Illinois, 73 Ill.B.J. 106, 108 (1984)). Additionally, there is no prevention of suicide interest where a patient agrees
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In two cases, decided three years apart, blood transfusions were decided to be invasive and therefore greatly violative of bodily integrity. In re Brown, 294 Ill.App.3d 159, 171 (1997). Logically this would cause the parens patrie power of the State to be less effective. However, Brown has not been cited for the blood transfusion determination since it was handed down. It even conflicts with a case in the same appellate district that found blood transfusions to be a “relatively non-invasive and risk-free procedure” especially as compared to a caesarean section. In re Baby Boy Doe, 260 Ill.App.3d 392, 402 (1994). While the case law is conflicting, giving grounds for a judge to possibly choose between the determinations, Baby Boy Doe did leave the determination of whether or not a non-invasive blood transfusion may be forced upon a religiously objecting person by a court. Id. Depending on how the court wishes to proceed, Brown might have answered that
Thomson provides the example of being hooked up for nine months to provide dialysis to an ailing violinist to expose how a fetus’s right to life does not supersede a mother’s right to make medical decisions about her body (48-49). I find that this thought experiment especially helpful in understanding how even though a fetus does have a right to life, because the continuation of their life hinges on the consent of their mother to use her body, it falls to the mother to choose whether or not to allow the fetus to develop to term.
Sloss, David. "The Right to Choose How to Die: A Constitutional Analysis of State Laws Prohibiting Physician-Assisted Suicide." Stanford Law Review. 48.4 (1996): 937-973. Web. 2 March 2015.
...t’s family should be able decide for the patient whether or not prolonging their life is moral.
Instead, the court recognized that the right to abortion was guaranteed under personal privacy. Thus, any law regulating abortion in any state across the United States was supposed to be justified by stating any of the compelling state interests. Additionally, any legislative enactment set forth should be tailored in meeting the compelling interests of all parties. The judges also agreed that the right to abortion was unlimited; therefore, it was important for the court to determine a framework that would balance the right to abortion and those of the government (Stewart et al. 307). The latter sought to protect the rights of all mothers and at the same time protect the human life. If the abortion law was completely unregulated, then there would be cases where individuals would practice abortion without factoring the important role of government in conserving life (Saad). As a result, the trimester framework that took the above issues into consideration was conceived. The framework established when the fundamental rights of women to issues relating abortion became absolute. It also established when the state's interests were more compelling than the rights of the woman. In the first trimester, the Court left the decision to the woman and the physicians. However, after the first trimester or at the end of the first trimester when fetal viability had been established, the state had a right to protect the health of the mother as well as the unborn child (Saad). The state was also required to regulate all abortion procedures so that they became reasonable. The procedures were supposed to protect and preserve maternal health. At the third trimester, the state interest would become compelling since the viability of the fetus becomes compelling. In such cases, the state has the right to regulate abortion to protect human life. Also, the
Patients are ultimately responsible for their own health and wellbeing and should be held responsible for the consequences of their decisions and actions. All people have the right to refuse treatment even where refusal may result in harm to themselves or in their own death and providers are legally bound to respect their decision. If patients cannot decide for themselves, but have previously decided to refuse treatment while still competent, their decision is legally binding. Where a patient's views are not known, the doctor has a responsibility to make a decision, but should consult other healthcare professionals and people close to the patient.
Geppert, C. (2010). Saving life or respecting patient autonomy: The ethical dilemma of DNR orders in patients who attempt suicide. The Internet Journal of Law, Healthcare and Ethics, 7(1). Retrieved from http://ispub.com
...d how these determinations effect a physician’s approach to various types of critically ill patients? These types of questions come in to play when one attempts to critically analyze the differences between the types of terminally ill patients and the subtle ethical/legal nuances between withholding and withdrawing treatment. According to a review by Larry Gostin and Robert Weir about Nancy Cruzan, “…courts examine the physician’s respect for the desires of the patient and the level of care administered. A rule forbidding physicians from discontinuing a treatment that could have been withheld initially will discourage doctors from attempting certain types of care and force them prematurely to allow a patient to die. Physicians must be free to exercise their best professional judgment, especially when facing the sensitive question of whether to administer treatment.”
The drawback, however, is that there is no agreement upon when life begins and at which point one crosses the line from unalienable rights to murder. In 1973, in what has become a landmark ruling for women’s rights, the U.S. Supreme Court ruled in favor of a woman’s right to an abortion. Ever since, individual states have adopted, altered, and/or mutilated the edict to fit their agendas – Texas included. However, the decision made by the justices in Roe v. Wade didn’t set clear cut, inarguable demarcation lines, which has allowed the fiery debate to consume the nation. Rather than establishing a legal ruling on what life is, or is not, the Supreme Court has remained silent on the issue.
Many arguments in the abortion debate assume that the morality of abortion depends upon the moral status of the foetus. While I regard the moral status of the foetus as important, it is not the central issue that determines the moral justifiability of abortion. The foetus may be awarded a level of moral status, nevertheless, such status does not result in the prescription of a set moral judgement. As with many morally significant issues, there are competing interests and a variety of possible outcomes that need to be considered when making a moral judgement on abortion. While we need to determine the moral status of the foetus in order to establish the type of entity we are dealing with, it does not, however, exist in a moral vacuum. There are other key issues requiring attention, such as the moral status and interests of the pregnant woman who may desire an abortion, and importantly, the likely consequences of aborting or not aborting a particular foetus. Furthermore, I assert that moral status should be awarded as a matter of degree, based upon the capacities of sentience and self-consciousness an entity possesses. In a bid to reach a coherent conclusion on the issue, the moral status of both foetus and woman, along with the likely results of aborting a particular foetus, must be considered together. Given the multiple facets requiring consideration, I assert that utilitarianism (Mill 1863) offers a coherent framework for weighing and comparing the inputs across a variety of situations, which can determine whether it is ever morally justifiable to have an abortion.
The case that I decided to write about is one of the most controversial cases that have ever happened in the United States. The Roe v. Wade (1973) case decided that a woman with her doctor could choose to have an abortion during the early months of that pregnancy. However, if the woman chose to wait until the later months of the pregnancy then they would have certain restrictions based on their right to privacy. This case invalidated all state laws which limited women’s access to abortions during their first trimester of their pregnancy which was based on the Ninth Amendment of the Constitution. The Amendment states that “the enumeration in the Constitution, of certain rights, shall not be construed to deny or disparage others retained by the people” (Cornell University Law School, 2013).
...sidered as ethical because it totally violates the will, the freedom of choice, and also the values of the ill person.
Paramedics deemed the patient competent and therefore Ms. Walker had the right to refuse treatment, which held paramedics legally and ethically bound to her decisions. Although negligent actions were identified which may have resulted in a substandard patient treatment, paramedics acted with intent to better the patient despite unforeseen future factors. There is no set structure paramedics can follow in an ethical and legal standpoint thus paramedics must tailor them to every given
Today’s society protects against discrimination through laws, which have been passed to protect minorities. The persons in a minority can be defined as “a group having little power or representation relative to other groups within a society” (The Free Dictionary). It is not ethical for any person to discriminate based on race or ethnicity in a medical situation, whether it takes place in the private settings of someone’s home or in a public hospital. Racial discrimination, in a medical setting, is not ethical on the grounds of legal statues, moral teachings, and social standings.
In the case study, Betty was adamant in refusing treatment, despite the risks of the illness progressing and potentially leading to death; under the laws of the medical treatment act (1988) any adult who exhibits competency has the right to refuse treatment, even if refusal of care increases the risk to their health, this right is based on autonomy (3). The information outlined suggests that Betty was capable of making a decision as she fulfils all the elements of consent; therefore she is competent and has the right to deny treatment. Betty acknowledges the risks of not receiving treatment and admits that not receiving treatment will make it difficult, demonstrating her sound understanding of the risk and benefits of the outcomes. For a patient to fulfil the element of understanding they must receive, process and incorporate the information they are provided with into their own personal values and Betty demonstrates this level of understanding by sticking to her values, her decision to stay home and by acknowledging the difficulties and risks of not receiving treatment (3). Once Betty received a diagnosis she was informed by the paramedic of the outcomes and potential risks of not receiving treatment for her condition, Betty was sufficiently informed with information and risks relevant to her situation, enabling her to make an informed decision (3). In order for consent to be considered voluntary, a patient must consent to treatment in an environment free of threat and pressure; if a patients decision is genuine they will also accept responsibility for the outcomes and understand the risks (3). Voluntary consent is a slightly grey area in Betty’s scenario, her son is potentially placing pressure on Betty with his demands, however, Betty expresses responsibility by admitting it will be difficult to and
Since the early 1970’s abortion has been an important issue to the United States (Tietze 1). The problem begins with whether it is the woman’s choice to keep or terminate her pregnancy or the government’s choice. When this problem happens, a woman loses her right as a person. Most women argue about this issue, but if you look at it, it is the woman’s body, and she should do with it as she pleases. I believe that if a woman, under the right circumstances, should be able to make her own choices in life and not be influenced by family or the government.